Modulation of Ferroptosis During Early Mycobacterium tuberculosis Infection Contributes to Beijing Lineage Strain

Joshua J Ivie1, Sylvia Stull1, Ethan Bustad1

  • 1Center for Global Infectious Disease Research, Seattle Children's Research Institute.

Insights

A virulent clinical strain of Mycobacterium tuberculosis (Mtb) induces ferroptosis, a cell death pathway, in alveolar macrophages (AMs), promoting bacterial spread. Inhibiting this ferroptosis reduces bacterial burden and alters immune signaling during early infection.

Area of Science:

  • Immunology
  • Cell Biology
  • Microbiology

Background:

  • Spread of Mycobacterium tuberculosis (Mtb) from infected alveolar macrophages (AMs) is critical for infection outcomes.
  • The role of cell death, particularly ferroptosis, in early Mtb infection and its regulation by Mtb strains are poorly understood.
  • Ferroptosis, a lipid peroxidation-mediated cell death, is implicated in later stages of Mtb infection, but its early role in AMs is undefined.

Purpose of the Study:

  • To investigate the role of ferroptosis in early AM cell death during Mtb infection.
  • To compare the ferroptotic response induced by a hypervirulent clinical Mtb strain (SA161) versus a laboratory strain (H37Rv).
  • To assess the impact of inhibiting ferroptosis on bacterial burden and immune responses in Mtb-infected mice.

Main Methods:

  • Gene set variation analysis of single-cell RNAseq data from Mtb-infected murine lungs.
  • In vitro and in vivo assessment of lipid peroxidation induced by Mtb strains.
  • Administration of ferrostatin-1 (Fer-1), a lipid peroxidation inhibitor, to Mtb-infected mice.
  • Microscopic analysis of lung lesions to evaluate cell populations and immune signaling.

Main Results:

  • The hypervirulent Mtb strain SA161 induced a stronger pro-ferroptotic transcriptional response in AMs compared to H37Rv.
  • SA161 caused increased lipid peroxidation in AMs both in vitro and in vivo, which was reduced by Fer-1.
  • Fer-1 administration significantly reduced bacterial burden for SA161 infection at 14 days post-infection but had no effect on H37Rv.
  • Inhibition of ferroptosis in SA161-infected lungs led to a higher proportion of AMs and decreased neutrophil-associated IFN signaling.

Conclusions:

  • Ferroptosis plays a significant role in early infection with virulent clinical Mtb strains.
  • Ferroptosis influences bacterial spread and the signaling of immune responders like neutrophils.
  • Targeting ferroptosis-driven lipid peroxidation may offer a host-directed strategy for treating Mtb infections caused by virulent strains.

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